Divya Gupta
Radiology, Diagnostic Radiology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669935185
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1669935185
- Entity type
- Individual (NPI-1)
- Name
- Divya Gupta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2019
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | A194926 | CA | Yes |
Practice location
757 Westwood PlzLos Angeles, CA 90095-3083
Phone 310-825-9111
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
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